Title Page

  • Conducted on

  • Site

  • Prepared by

  • Jobsite Photo Overview

Project Supervision

  • Do you wish to review project supervision during this inspection?

  • Is project supervision modeling the safety program and policies?

  • Is supervision taking corrective action when observing unsafe acts or conditions?

  • How would you rate the involvement of the supervision in the overall safety culture of the project on a scale of 1-10?

  • Comments/Reasoning

Hazcom

  • Do you wish to review Hazcom during this inspection?

  • Are all workers trained on the GHS standard?

  • Is there a SDS binder readily accessible for all workers on the job?

  • Are all materials/chemical SDS' up-to date?

  • Are all secondary containers properly labeled per GHS standard?

Personal Protective Equipment (PPE)

  • Do you wish to review Personal Protective Equipment during this inspection?

  • Sufficient signage informing workers/visitors of PPE requirements?

  • Hardhats being worn as required?

  • Safety-toe boots?

  • Class 2 HI-visibility shirts/vests/coats?

  • Adequate sleeve length?

  • Cut-resistant gloves when handling sharp objects?

  • Hearing protection when applicable?

  • Face shield in use when applicable?

  • Safety glasses when required?

  • Visitor PPE available?

Training and Certification

  • Do you wish to review training and certification during this inspection?

  • Have all persons working on the job been orientated?

  • Are employees trained on task-specific hazards?

  • Are competent persons identified for applicable tasks?

  • Are toolbox talks occurring weekly?

People Safety

  • Do you wish to check work crew safety knowledge at this inspection?

  • Approach at least one team member and record their responses to the following. Make clear this is not an assessment of the team member themselves, but rather the safety procedures on site.

  • Team Member
  • Has the team member attended a pre-start meeting or toolbox talk within the last week?

  • Is the team member able to describe the correct process to follow in an emergency situation?

  • Is the worker able to identify three hazards they may encounter in their tasks today?

  • Team member signature (to verify this interview took place NOT to assess their safety knowledge)

Housekeeping & Sanitation

  • Do you wish to review housekeeping & sanitation during this inspection?

  • Is there adequate lighting?

  • Are passageways and walkways clear?

  • Are material piles organized and neat?

  • Is there a break area established?

  • Are nails removed from lumber or bent?

  • Is there an adequate supply of drinking water and cups?

  • Is there an eye wash station available?

  • Are portable toilets adequate?

  • Rate the quality of the overall job's housekeeping from 1-10

Tools

  • Do you wish to review tools during this inspection?

  • Are tools in good working condition?

  • Do tools have proper guards in place?

  • Are tools being used properly?

  • Are broken/defective tools tagged and taken out of service?

Rigging

  • Do you wish to review rigging during this inspection?

  • Are all safety gates in place?

  • Is the equipment in good condition?

  • Is rigging equipment being used properly?

Emergency Preparedness

  • Do you wish to review emergency preparedness during this inspection?

  • Is there an emergency action plan (EAP) for this project?

  • Two first responders identified on site?

  • First aid kit stocked and readily accessible?

  • Bloodborne pathogens kit stocked and readily accessible?

  • Is a spill kit accessible and stocked?

  • Is there a site emergency map posted with an indicated muster point?

  • Is the emergency information posted for all employees?

  • Is the AED inspected and accessible?

Fire Safety

  • Do you wish to review Fire Safety during this inspection?

  • Evacuation map posted?

  • Fire extinguisher visually inspected and initialed?

  • Are exit routes clearly identified in structure?

  • Exit doors clear and unlocked?

  • Flammable storage container being used properly when there is 25 gal. or more of flammables?

Environmental

  • Do you wish to review Environmental issues during this inspection?

  • Is the weather causing any safety issues?

Heavy Equipment

  • Do you wish to review Heavy Equipment during this inspection?

  • All glass in good condition?

  • Fire extinguisher(s) installed?

  • Back-up alarms working and audible?

  • Equipment properly secured when not in use?

  • Seatbelts provided and used in equipment?

  • Lights, brakes, warning signals operative?

  • Regular inspections and maintenance?

Excavation

  • Do you wish to review Excavations during this inspection?

  • Have underground utilities been identified and marked?

  • Are daily inspections completed by a competent person?

  • Are equipment ramps adequate?

  • Holes, trenches and cuts over 5' deep: Are shored, sloped, or trench boxes used?

  • Ladders placed to ensure no greater than 25' of lateral travel by worker?

  • Is the excavation barricaded?

  • Over 20 ft below grade: Registered professional engineered system?

Fall Protection

  • Do you wish to review Fall Protection during this inspection?

  • Rescue plan established and reviewed?

  • Fall protection equipment condition

  • Fall protection equipment inspected by competent person and documented?

  • Fall protection used at 6'?

  • Guardrails have top rail at 42", midrail at 21", and toe-boards as required?

  • Trauma straps attached to harness to prevent suspension trauma?

Ladders

  • Do you wish to review Ladders during this inspection?

  • 3 points of contact when ascending/descending?

  • Any broken or bent rungs?

  • Ladder setup 4:1 angle?

  • All warning labels and load rating visible and legible?

  • Ladder extends 3' above landing surface?

  • Ladder securement?

Scaffolding

  • Do you wish to review Scaffolding during this inspection?

  • System inspected prior to use?

  • Scaffold tied to structure?

  • Guardrails, mid-rails, toe boards?

  • Scaffold plumb and square with cross-bracing?

  • All connectors secure?

  • Scaffold erection properly supervised?

  • Wheel locks engaged when in use?

  • Fall protection at 6'?

  • Work area free from slip/trip hazards? (snow, ice, grease, debris, etc.)

Concrete

  • Do you wish to review Concrete work during this inspection?

  • Is rebar protected with OSHA compliant rebar caps or bent?

  • Shoring adequate, plumbed, and cross-braced?

  • Forms properly installed and braced?

  • Nails stripped from material or banged in to prevent punctures/lacerations?

  • Compliant with Table 1 for controlling silica dust?

Steel Erection

  • Do you wish to review Steel Erection during this inspection?

  • Adequate fall protection?

  • Tag-lines used for controlling loads?

  • Floor openings covered and/or barricaded?

  • Hoisting apparatus checked?

Cranes and Derricks

  • Do you wish to review Cranes and Derricks during this inspection?

  • Load testing accomplished?

  • Load chart or digital load chart available and functional?

  • Power lines deactivated, removed, or warning signs posted warning of at least 10' clearance from overhead power lines (voltages 50,000 volts or below?)

  • Proper loading for capacity at lifting radius?

  • Riggers qualified?

  • Are annual inspections completed?

  • Signal person qualified and used where needed?

  • Are operators certified and physical exams current?

  • Competent person inspecting crane?

  • Daily inspections completed by operators?

  • Outriggers in use?

  • Operation in accordance with manufacturer's instruction?

Welding and Cutting

  • Do you wish to review Welding and Cutting during this inspection?

  • Screens and shields in place?

  • Gas lines and power cables protected and in good condition?

  • Proper ventilation?

  • "Hot work" permit completed and posted in areas requiring such permit?

  • Are oxygen and acetylene stored properly?

  • Are bottles not in use secured with caps in place?

  • Fire extinguisher nearby?

  • Work being done away from combustible materials?

  • Area inspected for fire hazards?

  • Are welders certified?

  • Flashback arrestors placed on hoses (O2 and fuel gas)?

  • Firewatch occurring as required?

Electrical

  • Do you wish to review Electrical during this inspection?

  • Generator(s) grounded?

  • Are grounding pins intact?

  • Breaker boxes have appropriate covers?

  • Are breakers labeled completely?

  • Is temporary power inspected?

  • Exposed energized parts?

  • GFCI's in use?

Confined Space

  • Do you wish to review Confined Space during this inspection?

  • Confined space training completed for applicable employees?

  • Appropriate atmospheric testing completed?

  • Permit in use when required?

  • Evacuation device in use when required?

  • Attendant present when required?

Masonry

  • Do you wish to review Masonry during this inspection?

  • Are limited-access zones established as required?

  • Proper scaffolding?

  • Masonry saws properly equipped, dust protection provided?

  • Safe hoisting equipment?

  • Please sign your name

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